Crohns Vs Ulcerative Colitis

Question 1

Crohn’s or Colitis?
Diarrhoea usually non-bloody

Answer 1

Crohn’s

Question 2

Crohn’s or Colitis?
Primary sclerosis cholangitis more common

Answer 2

Ulcerative colitis

Question 3

Crohn’s or Colitis?
bloody diarrhoea more common

Answer 3

Ulcerative colitis

Question 4

Crohn’s or Colitis?
Upper GI symptoms, mouth ulcers, perianal disease

Answer 4

Crohn’s

Question 5

Crohn’s or Colitis?
Gallstones more common - secondary to reduced bile acid reabsorbtion

Answer 5

Crohn’s

Question 6

Crohn’s or Colitis?
Abdo pain in LLQ and tensemus (urge without being able to go to the toilet)

Answer 6

Ulcerative colitis

Question 7

Crohn’s or Colitis?
Complications: obstruction, fistula, colorectal cancer

Answer 7

Crohn’s

Question 8

Crohn’s or Colitis?
Complications: risk of colorectal cancer (higher than other type of IBD)

Answer 8

Ulcerative colitis

Question 9

Crohn’s or Colitis?
Lesions anywhere from mouth to anus

Answer 9

Crohn’s

Question 10

Crohn’s or Colitis?
Inflammation never spreads beyond ileocaecal valve

Answer 10

Ulcerative colitis

Question 11

Crohn’s or Colitis?
Histology: inflammation in all layers from mucosa to serosa

Answer 11

Crohn’s

Question 12

Crohn’s or Colitis?
Histology: increased goblet cells and granulomas present

Answer 12

Crohn’s

Question 13

Crohn’s or Colitis?
Histology: No inflammation beyond submucosa

Answer 13

Ulcerative colitis

Question 14

Crohn’s or Colitis?
Histology: neutrophils migrate through the walls of glands to form crypts

Answer 14

Ulcerative colitis

Question 15

Crohn’s or Colitis?
Histology: depletion of goblet cells and infrequent granulomas

Answer 15

Ulcerative colitis

Question 16

Crohn’s or Colitis?
Endoscopy: deep ulcers with skip lesions, ‘cobble-stone’ appearance

Answer 16

Crohn’s

Question 17

Crohn’s or Colitis?
Endoscopy: widespread ulceration with preservation of adjacent mucosa which has the appearance of polyps

Answer 17

Ulcerative colitis

Question 18

Crohn’s or Colitis?
Weight loss more prominent

Answer 18

Crohn’s